Organization Active NPI

Simple Treasures in Home Care, Inc

  • In Home Supportive Care Agency
  • North Bend, OR
National Provider Identifier
1689021719
Registry record updated May 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
251400000X Issued in OR
Legal business name
SIMPLE TREASURES IN HOME CARE, INC
Practice address
2222 Broadway Ave
Suite D
North Bend, OR 97459-2371
Phone
(541) 751-9400
Fax
(541) 751-8079
NPI assigned
May 18, 2016
Last updated
May 18, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 18, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Angela Reynolds
Title
Financial Manager
Phone
(541) 751-9400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X 251400000X OR Primary

Addresses

Primary practice location

2222 Broadway Ave
Suite D
North Bend, OR 97459-2371

Mailing address

2222 Broadway Ave
Suite D
North Bend, OR 97459-2371
Phone (541) 751-9400

Other identifiers 1

IdentifierTypeStateIssuer
500701936MedicaidOR

National Provider Directory

National Provider Directory
Tax ID family
Simple Treasures in Home Care Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2222 Broadway Ave
Ste D
North Bend, OR 97459
Phone (541) 751-9400

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1463529600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1463529600000",
    "number": "1689021719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2222 BROADWAY AVE",
            "address_2": "SUITE D",
            "city": "NORTH BEND",
            "state": "OR",
            "postal_code": "974592371",
            "telephone_number": "541-751-9400",
            "fax_number": "541-751-8079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2222 BROADWAY AVE",
            "address_2": "SUITE D",
            "city": "NORTH BEND",
            "state": "OR",
            "postal_code": "974592371",
            "telephone_number": "541-751-9400",
            "fax_number": "541-751-8079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIMPLE TREASURES IN HOME CARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-18",
        "last_updated": "2016-05-18",
        "status": "A",
        "authorized_official_last_name": "REYNOLDS",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_title_or_position": "FINANCIAL MANAGER",
        "authorized_official_telephone_number": "541-751-9400"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "OR",
            "license": "251400000X",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500701936",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Bend, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.